Provider Demographics
NPI:1982048138
Name:ADVANCE HOME CARE LLC
Entity Type:Organization
Organization Name:ADVANCE HOME CARE LLC
Other - Org Name:SINCERE CARE AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:RENATA
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAVIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-934-0004
Mailing Address - Street 1:2546 E 17TH ST STE 2
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-3561
Mailing Address - Country:US
Mailing Address - Phone:718-864-0977
Mailing Address - Fax:718-934-0009
Practice Address - Street 1:2546 E 17TH ST STE 2
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-3561
Practice Address - Country:US
Practice Address - Phone:718-934-0004
Practice Address - Fax:718-934-0009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-18
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health